Accounts Receivable-Billing Coordinator

$60,000 - $63,000/Yr

Care For The Homeless - New York, NY

Full-time

New York, NY

Religious, Grantmaking, Civic, Professional, and Similar Organizations

About the position

The Accounts Receivable-Billing Coordinator at Care For The Homeless is a vital role that reports directly to the Director of Revenue Cycle. This position is responsible for managing the day-to-day billing functions for the medical clinics, ensuring that all billing processes are executed efficiently and accurately. The coordinator will handle charge entry, troubleshoot billing problems, and respond to inquiries related to patient accounts. This role is essential in maintaining the financial health of the organization by ensuring timely and accurate billing practices. Key responsibilities include posting all payments to patient accounts in a timely manner, which involves processing insurance payments through both electronic remittance advices (ERAs) and paper remittances. The coordinator will assist patients and staff with any issues related to account balances or discrepancies, monitor claim payments, and adjudicate payment errors. In cases of claim rejections or denials, the coordinator will communicate with insurance companies to resolve these discrepancies. Additionally, the coordinator will develop billing reports that track visits, payments, denials, and other relevant metrics, while also tracking Managed Care Organization (MCO) denials. Collaboration is a key aspect of this role, as the coordinator will work closely with the Revenue Cycle Director and Billing Supervisor to address and resolve any billing issues that arise. The position may also involve performing other duties as necessary to support the billing department and ensure smooth operations.

Responsibilities

• Perform patient account and billing functions including posting all payments to patient accounts.
• Post insurance payments (ERAs and paper remittances) on a timely basis.
• Assist patients/staff with problems related to account balances or discrepancies.
• Monitor claim payments and capitated payments; adjudicate payment errors.
• Call insurance companies regarding claim rejections, denials, or discrepancies as necessary.
• Develop billing reports for visits, payments, denials, and other reports as instructed.
• Track MCO denials and work closely with the Revenue Cycle Director and Billing Supervisor to resolve issues.
• Perform other duties as it relates to this position.

Requirements

• High school diploma or GED required; higher education is a plus.
• Certification in medical billing and coding is a plus.
• Two years of billing experience, including Managed Care billing.
• Knowledge of ICD-10-CM & CPT-4 diagnostic coding classification systems.
• Understanding of medical billing, particularly in Mental Health and Primary care billing.
• Familiarity with medical billing and collection practices.
• Working knowledge of HIPAA guidelines and regulations.
• Familiarity with medical terminology.
• Demonstrated understanding of customer service principles.
• Strong computer skills, including medical office systems, spreadsheets, and word processing.
• Strong communication skills and ability to escalate conversations to achieve organizational goals.
• Understanding of Medicare, Managed Care, and Medicaid (NY) billing and reimbursement.
• Knowledge of Electronic Medical Records (preferably eClinicalWorks).
• Ability to work independently, meet deadlines, troubleshoot, and present findings.